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what is borderline lvh. I am not overweight and exercise regularlly. I have been weening myself off the atacand for the past 3 weeks and plan this fourth week to be the end. I have been monoriting my blood pressure. Does borderline lvh require medication. Also, is it possible the test was not accurate and if I retake it, it will have normal results. The reason, I believe my blood pressure even elevated was due to medication of cymbalta for situational depression (my brother died). After weening of the cymbalta, I had no problems. Can I stop the bp meds and take another test with possible normal results?

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replied April 16th, 2007
Heart Disease & Heart Attack Answer A2556
LVH stands for "left ventricle hypertrophy". LVH is due to excessive overload and demand on the left ventricle. In order to compensate for an excessive workload, the wall of the left ventricle becomes thicker (hypertrophy). Thickening, or hypertrophy, occurs at the beginning of the onset of LVH. If the factors that cause the overload continue to persist, hypertrophy will continue to develop... but not without limits. Hypertrophy depends upon the hearts muscle’s ability to create new blood vessels, which is limited. All of sudden, in one moment, hypertrophy won’t be able to sustain the burden on the heart and the body experiences heart failure.

Left heart’s ventricle stress can be due to high blood pressure or a primary valvular disorder such as aortal stenosis or regurgitation and mitral regurgitation. LVH can also be caused by an unknown reason; LVH can be idiopathic.

LVH can be precisely diagnosed and the level of development estimated using an ultrasound cardiography. Blood pressure measurement is also a part of the diagnostic procedure.

Therapy of LVH always includes blood pressure drugs because high blood pressure can cause and worsen a poor heart condition. If a valvular disorder caused LVH then cardiac surgery can be performed.

You can ask for a second opinion from a cardiologist.

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